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700 N Main St Eureka IL 61530-1085 | |
(309) 467-2337 | |
(309) 467-9097 |
Full Name | |
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Speciality | Clinic/center |
Location | 700 N Main St, Eureka, Illinois |
Authorized Official Name and Position | Garry L. Guimond (CFO) |
Authorized Official Contact | 3094672337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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700 N Main St Eureka IL 61530-1085 Ph: (309) 467-2337 | 700 N Main St Eureka IL 61530-1085 Ph: (309) 467-2337 |
NPI Number | 1841470374 |
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Provider Enumeration Date | 11/13/2007 |
Last Update Date | 11/13/2007 |
Identifier | Type | State | Issuer |
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1841470374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |